Organization
MINDMETIER
Active
Other names
Allisha Skinner Bonneaux
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISHA SKINNER BONNEAUX M.ED., LPC (OWNER)
(409) 988-4221
Entity
Organization
Contact information
Practice address
7700 FM 1130, ORANGE, TX 77632-3740
(409) 988-4221
Mailing address
7700 FM 1130, ORANGE, TX 77632-3740
(409) 988-4221
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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